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Employer
P.O. Box 36, Langhorne, PA 19047 · EIN 23-1322002 · Nov 1, 2024 to Jun 30, 2025
Plan year 2024
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Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $30,536
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Colonial Life & Accident Insurance Company | Mco Partners LLC | 6 | $61 1.5% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Acrisure Nj Partners Insurance Serv | 6 | $46 1.1% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Acrisure LLC, DBA The Tarpey Group | 6 | $24 0.6% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Lisa A Perri | 6 | $20 0.5% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Michael J Perri | 6 | $20 0.5% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Timothy J Reed | 6 | $16 0.4% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Conner Strong & Buckelew Companies | 6 | $8 0.2% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Clarice R Mims | 6 | $7 0.2% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | Yolanda Tristancho-Helwig | 6 | $4 0.1% of $4,037 |
| Medical | Colonial Life & Accident Insurance Company | C&L Reed Associated LLC | 6 | $2 0.0% of $4,037 |
| Medical | Symetra Life Insurance Company | Avant Specialty Benefits LLC | 930 | $1,794 1.6% of $112,315 |
| Dental | Delta Dental Of Pennsylvania | — | 18 | Comp not disclosed Premium $2,140 |
| Vision | National Vision Administrators (Nva) | — | 3191 | Comp not disclosed Premium $106,333 |
| Life | Symetra Life Insurance Company | Conner Strong & Buckelew Companies | 12490 | $15,408 2.4% of $632,855 |
| Life | Symetra Life Insurance Company | Avant Specialty Benefits LLC | 12490 | $12,657 2.0% of $632,855 |
| Employee Assistance Program | Carebridge Corporation | — | 568 | Comp not disclosed Premium $5,891 |
| Prepaid Legal | Countrywide Enterprises, Inc. | — | 22 | Comp not disclosed Premium $3,308 |
| Prepaid Legal | Countrywide Enterprises, Inc. | Conner Strong & Buckelew Companies | 60 | $469 10.0% of $4,685 |
Schedule C
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
No Schedule C parties in this year.